Healthcare Provider Details

I. General information

NPI: 1215256300
Provider Name (Legal Business Name): REACH OUT WEST END
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 LIMONITE AVE
JURUPA VALLEY CA
92509-5174
US

IV. Provider business mailing address

1126 W FOOTHILL BLVD STE 250
UPLAND CA
91786-3786
US

V. Phone/Fax

Practice location:
  • Phone: 951-465-4564
  • Fax: 909-982-8642
Mailing address:
  • Phone: 909-982-8641
  • Fax: 909-982-8642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: DIANA FOX
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 909-982-8641